Evidence map›Paper›PMID 35354638›Full record

ArticleBMJ open2022

Post-traumatic stress disorder in patients with rheumatic disease during the COVID-19 outbreak: a cross-sectional case-control study in China.

Xin Wu, Xuqiang Geng, Zhilei Shang, Zhen Wang, Hongjuan Lu, Haiying Ma, Weizhi Liu, Huji Xu

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Xin Wu *Department of Rheumatology and Immunology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Xuqiang Geng *Department of Rheumatology and Immunology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Zhilei Shang *Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, China.
Zhen WangDepartment of Rheumatology and Immunology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Hongjuan LuDepartment of Rheumatology and Immunology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Haiying MaFaculty of Psychology and Mental Health, Naval Medical University, Shanghai, China xuhuji@smmu.edu.cn 13024141970@163.com haiying199901@163.com.
Weizhi LiuLab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, China xuhuji@smmu.edu.cn 13024141970@163.com haiying199901@163.com.ORCID 0000-0001-6836-5522
Huji XuDepartment of Rheumatology and Immunology, Second Affiliated Hospital of Naval Medical University, Shanghai, China xuhuji@smmu.edu.cn 13024141970@163.com haiying199901@163.com.
Shanghai Changzheng Hospital · CNSecond Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe COVID-19 pandemic is not only a traumatic event, but a collective stressor unfolding over time, causing devastating implications for the mental health. This study aimed to shed light on the mental health status of patients with rheumatic disease (RD) during the massive outbreak of COVID-19 in China, especially the prevalence and severity of post-traumatic stress disorder (PTSD) compared with healthy individuals.

methodsA total of 486 patients with RD and 486 age-matched and sex-matched healthy individuals were recruited into the study. For each participant, we collected demographic and clinical characteristics data. The PTSD Checklist for DSM-5 (PCL-5) and four items from the Pittsburgh Sleep Quality Index (PSQI) were used to investigate the prevalence and severity of PTSD and sleep quality, respectively.

resultsCompared with healthy control subjects (n=486), patients with RD (n=486) had a higher prevalence of PTSD (12.1% vs 4.1%; p<0.001). Higher total scores on the PCL-5 and on all four items from the PSQI (p≤0.001) were also observed. Female, old age, poor sleep quality, long duration of RD, poor subjective evaluation of the disease and pessimistic subjective perception of the epidemic were identified as risk factors of PTSD in patients with RD during the COVID-19 epidemic.

conclusionDuring the COVID-19 outbreak, patients with RD presented a higher prevalence and severity of PTSD and showed more sleep disturbances. Our findings confirm the importance of psychological assessment and mental healthcare out of regular clinical care for patients with RD during the pandemic.

Indexed as

COVID-19Rheumatic DiseasesStress Disorders, Post-TraumaticCase-Control StudiesChinaCross-Sectional StudiesFemaleHumansPandemicsCOVID-19MENTAL HEALTHRHEUMATOLOGY

Identifiers

PMID35354638
PMCPMC8968122
OpenAlexW4220770946

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.